Coulibaly S P, Maïga F I, Landouré G, Dolo H, Mounkoro P P, Dara A E, Traoré J, Traoré K, Kané F, Diarra Z, Yalcouyé A, Taméga A, Bocoum A, Coulibaly S, Guinto C O, Togora A
Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako, Bamako, Mali.
Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali.
Mali Med. 2021 Apr 19;36(1):52-57.
Mental health is a state of equilibrium and well-being, any alteration of which leads to the appearance of a state of distress and/or mental disorder.
The objective of this work was to study familial and environmental factors associated with mental disorders.
A cross-sectional study was conducted in the Psychiatry Department of the Point G University Hospital Center from April 1, 2016 to March 31, 2017 among outpatients with a psychiatric disorder in whom factors associated with psychiatric disorders were studied.
We included 288 patients. The median age was 33.0 years. The sex ratio was 1.88 in favor of males. Married patients accounted for 45.5%. First born uterine siblings accounted for 26.7%. Patients born of an inbreeding alliance accounted for 25.7%. Cases with a family history of a psychiatric disorder represented 59.0% and those who spent their childhood with their parents accounted for 64.2%. Cases of psychoactive substance use prior to the onset of the mental disorder accounted for 42.7%. The main psychosocial stress factors that preceded the onset of the mental disorder were grief (46.2%) and family conflict (22.6%). Psychotic disorders accounted for 77.8%.
Our results show an association of mental disorders with family history of psychiatric disorder among patients followed in psychiatry. Further studies, such as genetic association may prove useful.
心理健康是一种平衡和幸福的状态,其任何改变都会导致痛苦状态和/或精神障碍的出现。
本研究的目的是探讨与精神障碍相关的家庭和环境因素。
于2016年4月1日至2017年3月31日在Point G大学医院中心精神科对患有精神障碍的门诊患者进行了一项横断面研究,研究了与精神障碍相关的因素。
我们纳入了288例患者。年龄中位数为33.0岁。性别比为1.88,男性占优势。已婚患者占45.5%。头胎出生的同胞占26.7%。近亲结婚生育的患者占25.7%。有精神障碍家族史的病例占59.0%,童年与父母一起生活的病例占64.2%。精神障碍发病前使用精神活性物质的病例占42.7%。精神障碍发病前主要的社会心理应激因素是悲伤(46.2%)和家庭冲突(22.6%)。精神障碍占77.8%。
我们的研究结果表明,在精神科随访的患者中,精神障碍与精神障碍家族史有关。进一步的研究,如基因关联研究可能会有帮助。